- 著者
- Gaku Ikegami Tokuro Abe Keiichi Akasaka Akemi Kouyama Ryosuke Souma Takashi Matsuo Kenya Kouyama Hiroki Fujiwara Toshio Ichiwata Koshu Nagao
- 出版者
- The Japanese Society of Internal Medicine
- 雑誌
- Internal Medicine (ISSN:09182918)
- 巻号頁・発行日
- vol.48, no.24, pp.2123-2127, 2009 (Released:2009-12-15)
- 参考文献数
- 17
- 被引用文献数
- 11 11
Bilateral phrenic nerve paralysis (BPP) is a relatively rare disease manifested by slight dyspnea at rest and on exertion in the sitting and standing positions and by dyspnea in the supine position. A 67-year-old man, who was a painter presented with severe pain in both shoulder regions that had evolved into orthopnea and forced him to sleep in a sitting position at night. Dyspnea and paradoxical respiratory movement in the supine position raised suspicions of BPP. The most striking feature in this case was that the rapid onset of pain in both shoulder regions was followed by BPP. The BPP was considered to be secondary to neuralgic amyotrophy (NA).